NATHAN A MIRACLE (NPI# 1326386509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326386509 |
| Entity Type | Individual |
| Full Name | NATHAN A MIRACLE |
| Credential | PA-C |
| Practice Address |
3050 E River Bluff Blvd Ozark MO 65721 |
| Mailing Address |
3050 E River Bluff Blvd Ozark MO 65721-8807 |
| Practice Telephone | 4178205610 |
| Mailing Telephone | 4178205610 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2013001193 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3050 E RIVER BLUFF BLVD |
| City | OZARK |
| State | MO |
| Zip Code | 65721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528094695 | Jeffrey S. Delvecchio | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2006-06-23 |
| 1366077240 | Daniel Ellis | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2020-03-11 |
| 1619532686 | Caitlyn Oxenreider | Nurse Practitioner | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2019-05-06 |
| 1609357383 | Whitney Moser | Registered Nurse | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-08-22 |
| 1457843740 | Hillary Gale Roberts | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-06-01 |
| 1750885901 | Ashley M Shaw | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-03-22 |
| 1821590142 | Cody L Giedd | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-03-02 |
| 1427575901 | Mercy Pharmacy Services, LLC | Pharmacy | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2017-08-25 |
| 1659758134 | Sarah Agnes Eck Tipton | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2015-05-04 |
| 1528461621 | Justin R Allphin | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184259079 | Dustin Edward Hemker | Physician Assistant | 937 Blake Ct, Saint Peters, MO 63376-5527 | 2020-03-11 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1770073587 | Ashton Marie Roberts | Physician Assistant | 1 Hospital Dr # Dc077.00, Columbia, MO 65212-1000 | 2018-05-16 |
| 1295257285 | Katelynn Elizabeth Austin | Physician Assistant | 3250 Gordonville Rd Ste 384, Cape Girardeau, MO 63703-5095 | 2017-07-11 |
| 1407214364 | Kathryn Rebecca Bachman | Physician Assistant | 226 S Woods Mill Rd Ste 35w, Chesterfield, MO 63017-3442 | 2016-02-08 |
| 1699148429 | Michael Farrell | Physician Assistant | 7827 Highway N Ste 104, O Fallon, MO 63368-6704 | 2015-11-02 |
| 1427441492 | Cornerstone First Assisting | Physician Assistant | 267 Countryshire Dr, Lake St Louis, MO 63367-5823 | 2015-03-14 |
| 1205232915 | Pa Staffing LLC | Physician Assistant | 408 Ballwin Ave, Ballwin, MO 63021-5213 | 2014-11-06 |
| 1568702090 | Jamie Lyn Mertz | Physician Assistant | 9423 N Wayne Ct, Kansas City, MO 64155-2999 | 2013-02-20 |
| 1245586536 | Jeb Medical LLC | Physician Assistant | 1215 Clay St, Kansas City, MO 64116-4026 | 2012-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.